Predictive Factors of Social Stigma Associated with Covid-19 among Nursing Students

Main Article Content

Pimpimon Wongchaiya
Chuleeporn Pusopa
Pikul Audthiya
Wassana Kankom

Abstract

Objectives: To examine levels of social stigma associated with Covid-19 among nursing students and its predictive factors.


Material and methods: The data were collected among 402 nursing students of a nursing college in the northern region of Thailand. The research instruments collected the following data: personal characteristics, the social stigma associated with Covid-19 (SS-Covid-19), knowledge regarding Covid-19 (K-Covid-19), attitudes toward persons who experienced Covid-19 infection (ATT-Covid-19), anxiety related to Covid-19 (ANX-Covid-19), and information perception regarding Covid-19 through media (INFO-Covid-19). Data were collected from November to December 2021, and were analyzed using descriptive statistics. A Pearson correlation coefficient and a stepwise multiple regression were applied to examine predictors of social stigma associated with Covid-19. 


Results: It was found that SS-Covid-19 among nursing students was at a low level. The stepwise multiple regression results showed that ATT-Covid-19, K-Covid-19, ANX-Covid-19, and year 3 students could explain 19.6 % of social stigma associated with Covid-19. ATT-Covid-19 was the most important predictor of SS-Covid-19.


Conclusion: It is important to develop a more effective method that provides reliable and accurate information to the public in order to prevent negative attitudes and irrational fear of infection which leads to social stigma associated with Covid-19.

Article Details

Section
Original article (นิพนธ์ต้นฉบับ)

References

Department of Disease Control. Covid-19 situation report [Internet]. [Cite 2021 August 1]. Available from: https://covid19.ddc.moph.go.th/

Hfocus. (2020). Death rates due to Covid-19 in Thailand was 1.7 % which was 4 times lower than global rates, most were people with chronic disease especially DM [Internet]. 2020 [Cite 2021 August 1]. Available from: https://www.hfocus.org/content/2020/04/19037 (in Thai)

Amporn B, Thiti S, Sarutphan Chakkraphan na A, Rujira K, Rakpong W, Jiraphat K, et al. Mental Health effect of Coronavirus outbreak (COVID – 19) in Health Region 5 Thailand. 2022 [cited 2022 October 1]. Available from: https://kb.hsri.or.th/dspace/handle/11228/5481?locale-attribute=en (in Thai)

Silatham S, Pojana T, Shutiwan P. A literature systematic review: the effects of stigma on people affected by leprosy, tuberculosis and HIV/AIDS. Disease Control Journal 2018; 44(1):19-29. (in Thai)

Ampawan Y. Covid-19 with social stigma: the roles of infection control nurse. Journal of Nursing Science Chulalongkorn University 2020; 32(1): 89-97. (in Thai)

Somporn R. Factors related to Covid -19 stigma among people in Thasala District of Nakhon Si Thammarat Province. Journal of Health Sciences and Pedagogy 2021; 1(3): 27-40. (in Thai)

Yufika A, Pratama R, Anwar S, Winardi W, Librianty N, Prashanti NAP, et al. Stigma associated with COVID-19 among health care workers in Indonesia. Disaster Med Public Health Prep. 2021 Mar 25:1-5. doi: 10.1017/dmp.2021.93.

Haddad C, Bou Malhab S, Malaeb D, Sacre H, Saadeh D, Mourtada V, Salameh P. Stigma toward people with COVID-19 among the Lebanese population: a cross-sectional study of correlates and mediating effects. BMC Psychology. 2021; (164). doi.org/10.1186/s40359-021-00646-y.

Ransing R, Ramalho R, de Filippis R, Ojeahere MI, Karaliuniene R, Orsolini L, et al. Infectious disease outbreak related stigma and discrimination during the COVID-19 pandemic: drivers, faciliatators, manifestations, and outcomes across the world. Brain Behav. Immun. 2020; 89, 555-558. Doi: 10.1016/j.bbi.2020.07.033

Cassiani-Miranda CA, Campo-Arias A, Tirado-Otálvaro AF, Botero-Tobón LA, Upegui-Arango LD, Rodríguez-Verdugo MS, Botero-Tobón ME, Arismendy-López YA, Robles-Fonnegra WA, Niño L, Scoppetta O. Stigmatisation associated with COVID-19 in the general Colombian population. Int J Soc Psychiatry. 2021 Sep; 67(6): 728-736. doi: 10.1177/0020764020972445. Epub 2020 Nov 8. PMID: 33161822; PMCID: PMC7655501

Wisit N. Prevalence and Associated Factors of Mental Health Problems on Healthcare Worker at Nakhonpathom Hospital in Corona Virus Disease 2019 (COVID-19) Epidemic Era. Region 4-5 medical journal 2020; 39(4): 616-627 (in Thai)

Kasatpibal N, Viseskul N, Thummathai K, Kamnon K, Sangkampang S, Tokilay R. Predicting Factors of Thai Population Practices Amid People Have Been Infected / Quarantined and Impacts of COVID-19 Outbreak (Phase I). [Retrieved 20 December 2020] Available from: https://www.khonthai4-0.net/content_detail.php?id=304 (in Thai)

Abuhammad S, Alzoubi KH., & Kabour O. Fear of COVID-19 and stigmatization towards infected people among Jordanian people. The International Journal of Clinical Practice. 2021; 75. doi:10.1111/ijcp.13899

Keawmungmueang P, Chuemor N, Tasod S. Social Stigma During the COVID-19 Pandemic: The Roles of the Psychiatric Nurse. Academic Psychiatry and Psychology Journal 2022; 38:117-127. (in Thai)

Alnahdi O, S, Albuqaytah F, A, Alotaibi N, Afeef M, A, Natto Z, S, Subahi R, H: COVID-19 Stigma Correlates with Burnout among Healthcare Workers: Evidence from Healthcare Workers Practicing in Saudi Arabia. Saudi J Health Syst Res 2023. doi: 10.1159/000528564

Osei E, Amu H, Appiah PK, Amponsah SB, Danso E, Oppong S, et al. Stigma and discrimination tendencies towards COVID-19 survivors: Evidence from a nationwide population based survey in Ghana. PLOS Glob Public Health 2022; 2(6): e0000307. https://doi.org/10.1371/journal. pgph.0000307

Suppaluk T, Matanee R, Sujira W, Siriporn O. Strategies to relieve a social stigma on COVID-19. KJN 2020;27(2):164-174. (in Thai)

World Health Organization. Social stigma associated with COVID-19 [online]. Available from: https://www.who.int/docs/default-source/searo/thailand/covid19-stigma-guide-th-final.pdf [2022 Jan 7]

Nursalam N, Sukartini T, Priyantini D, Mafula Dl. & Efendi F. Risk factors for psychological impact and social stigma among people facing COVID-19: a systematic review [Retrieved 26 December 2020]. Sys Rev Pharm, 2020;11(6):1022-1028. Available from: https://www.sysrevpharm.org/fulltext/196-1594133443.pdf

Zhang T-M, Fang Q, Yao H, Ran M-S. Public Stigma of COVID-19 and Its Correlates in the General Population of China. International Journal of Environmental Research and Public Health 2021; 18(21): 11718. Doi:10.3390/ijerph182111718.

Chaowalit S, Wichittra C, Buppha J, Pitchayanika C. Factors Related to Psychological Distress Among Nursing Students During the Coronavirus 2019 Disease Outbreak. Journal of health nursing education 2021; 27(1):75-90. Available from: file:///E:/251874-Article%20Text-899785-2-10-20210701.pdf (in Thai)